Individual provider Active NPI

Rosette Sandrine Makon, AGNP-C, WCC,PMHNP-BC

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700302445
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
811435 Issued in NV
Practice address
3430 E Flamingo Rd Ste 350
Las Vegas, NV 89121-5067
Phone
(702) 637-7535
Fax
(702) 920-7677
NPI assigned
Aug 15, 2017
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 811435 NV Primary
Gerontology Nurse Practitioner 363LG0600X AG08170019 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 811435 NV

Addresses

Primary practice location

3430 E Flamingo Rd Ste 350
Las Vegas, NV 89121-5067

Mailing address

510 E Mardon Ave
Las Vegas, NV 89123-1276
Phone (702) 637-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326001870 NV Practitioner - Nurse Practitioner 2365711363 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG08170019TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Nevada, P.C. CurrentSince Sep 16, 2025 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Elderology, LLC PastSince Oct 15, 2009 Accepting new patients
Accord Palliative and Hospice Care Inc PastSince Mar 3, 2024 Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

1276 S Nellis Blvd
Las Vegas, NV 89104
Phone (725) 269-6465

3830 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (725) 269-1044

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1700302445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MARDON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231276",
            "telephone_number": "702-637-7535",
            "fax_number": "702-920-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "702-637-7535",
            "fax_number": "702-920-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKON",
        "first_name": "ROSETTE",
        "middle_name": "SANDRINE",
        "name_prefix": "Miss",
        "credential": "AGNP-C, WCC,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "811435",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AG08170019",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "811435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.